THE FRONT AND BACK CO VERS IN THIS FILE ARE PDFS. SEPARATE FRONT AND BACK COVER FILE PREPARED Mount Sinai Health System Outcomes and • Performance Department of Otolaryngology–Head and Neck Surgery Department of Otolaryngology–Head and Neck Surgery Mount Sinai Health System One Gustave L. Levy Place Box 1189 2014 New York, NY 10029-6574 www.mountsinai.org/ent Outcomes and Performance 2014 Mount Sinai Health System Department of Otolaryngology– Head and Neck Surgery Mission The mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve. Vision The Mount Sinai Health System’s vision is to continue to grow and challenge convention through our pioneering spirit, scientific advancements, forward- thinking leadership, and collaborative approach to providing exceptional patient care. Table of Contents 2 A Message from the Dean 3 A Message from the Chairman 4 Outcomes and Performances 5 The Patient Hospital Experience 6 The Patient Practice Experience 6 Departmental Volume and Growth 9 The Multidisciplinary Head, Neck, and Thyroid Center – A Center of Excellence 13 The Division of Facial Plastic and Reconstructive Surgery 15 The Division of Laryngology 17 The Division of Oral Maxillofacial Surgery 19 The Division of Otology and Neurotology 22 The Division of Pediatric Otolaryngology 23 The Division of Rhinology and Skull Base Surgery 25 The Division of Sleep Surgery 26 Research and Clinical Trials 26 Clinical Trials 30 Grants 31 Publications 31 Head and Neck Oncology 32 Facial Plastic and Reconstructive Surgery 32 Laryngology 33 Oral and Maxillofacial Surgery 33 Otology and Neurotology 34 Pediatric Otolaryngology 34 Rhinology and Skull Base Surgery 35 Sleep Surgery 36 Faculty and Clinical Specialists 39 Practice Locations This material and more information on The Department of Otolaryngology–Head and Neck Surgery can be found at www.mountsinai.org/ent Department of Otolaryngology–Head and Neck Surgery Outcomes and Performance 2014 1 A Message from the Dean Improving patient care is central to the mission of the Icahn School of Medicine at Mount Sinai and the Mount Sinai Health System. The Outcomes and Performance annual report, published by the Department of Otolaryngology-Head and Neck Surgery, highlights our dedication to improving clinical care and the innovative research programs. This year’s report underscores the Department’s continued improvement in surgical morbidity and reduction of complications rates. The report also showcases many of the innovative programs that distinguish Mount Sinai as a leader. Optical imaging, clinical trials, and advances in the molecular biology of tumor cell metastasis are some of the programs that distinguish this year’s report, which I hope you find informative. It is my pleasure to share with you the accomplishments of this outstanding Department, one that exemplifies Mount Sinai’s mission to advance biomedical research, drive clinical improvements, and accelerate medical innovation. Dennis S. Charney, MD Anne and Joel Ehrenkranz Dean Icahn School of Medicine at Mount Sinai President for Academic Affairs Mount Sinai Health System 2 Department of Otolaryngology–Head and Neck Surgery Outcomes and Performance 2014 A Message from the Chair At the Department of Otolaryngology-Head and Neck Surgery at Mount Sinai, we are dedicated to continuously improving patient experiences and outcomes which is why we measure and report our performance data year after year. This approach identifies areas where we can improve and proactively implement clinical programs and research activities that target specific goals in each Division. As total visits increase each year, the Department has seen a progressive increase in the volume of complex cases. Hence, It is critical to continue our efforts to reduce complication rates and improve our patient’s quality of life following treatment. The Patient First Program is an example of our efforts demonstrating that pre-visit assessments increase treatment efficiencies among our high risk patient population and improve the patient experience. This year there were several new and exciting developments, including our HPV vaccine clinical trial. As the only site worldwide, Mount Sinai is leading this trial, which is designed to measure the efficacy of a combined vaccine and robotic surgery treatment for HPV-related head and neck cancers. We are pleased to report our various accomplishments in this 2014 Outcomes and Performance report and hope you find it informative. Eric M. Genden, MD, MHCA, FACS Professor and Health System Chairman The Department of Otolaryngology - Head and Neck Surgery The Mount Sinai Health System Department of Otolaryngology–Head and Neck Surgery Outcomes and Performance 2014 3 Outcomes and Performance What Have We Accomplished? This year, we report our performance data and highlight several new programs, dedicated to improving patient care. The Stop Sepsis Program is an example of an initiative designed to reduce perioperative inpatient infections. It is estimated that more than 750,000 Americans suffer from sepsis each year. At Mount Sinai, our quality team implemented the Sepsis Reduction Program using a clinician decision support model that involves data-driven, multidisciplinary protocols to quickly identify and treat cases of sepsis. As part of the Program, nurses received additional training to recognize warning signs and to call the Stop Sepsis Team. A team member then promptly responds to evaluate the patient, order tests, and initiate the indicated treatment. The results of the pilot program were overwhelmingly positive. The sepsis mortality rate across all Departments at The Mount Sinai Hospital fell by 40 percent, significantly decreasing Mount Sinai’s overall sepsis mortality rate, and we are proud to report, the Department of Otolaryngology-Head and Neck Surgery had 0 percent sepsis mortality rate in 2014. Programs like the Stop Sepsis Program make a difference for our patients and their families. 4 Department of Otolaryngology–Head and Neck Surgery Outcomes and Performance 2014 ■ The Patient Hospital Experience The patient hospital experience is a measure of critical aspects of patients’ hospital experiences such as communication with nurses and doctors, the responsiveness of hospital staff, the cleanliness and quietness of the hospital environment, pain management, communication about medicines, discharge information, overall rating of hospital, and would they recommend the hospital. Working with nursing leadership, we have improved our patient’s hospital experience by addressing our patients needs. Dr. Edward Shin, Chair of Otolaryngology-Head and Neck Surgery at New York Eye and Ear Infirmary of Mount Sinai. Source: The Centers for Medicare and Medicaid Services and Hospital Consumer Assessment of Healthcare Provider and Systems Survey. Medicare.gov Hospital Compare, http://www.medicare.gov/HospitalCompare/profile Source: The Centers for Medicare and Medicaid Services and Hospital Consumer Assessment of Healthcare Provider and Systems Survey. Medicare.gov Hospital Compare, http://www.hospitalcompare.hhs.gov Department of Otolaryngology–Head and Neck Surgery Outcomes and Performance 2014 5 ■ The Patient Practice Experience At Mount Sinai, the patient experience is a priority. The patient experience reflects occurrences and events that occur across the continuum of care. We believe that the patient experience extends beyond patient satisfaction surveys; it reflects the level of individualized care and managing the patient’s expectations. As patient experience continues to emerge as an important focus in healthcare, we are finding ways to tailor our care to each patients needs. Head and Neck Surgeon Dr. Gennady Ukrainsky specializes in the treatment of the nasal airway disorders, obstructive sleep apnea and diseases of the paranasal sinuses at New York Eye and Ear Infirmary of Mount Sinai. Source: Press Ganey Patient Experience Survey ■ Departmental Volume and Growth Patient Encounters The Mount Sinai Health System’s Department of Otolaryngology volume of patient encounters has consistently increased. Department physicians evaluate more than 100,000 patients a year. This volume provides an extraordinary data set to focus on the patient experience and surgical and medical outcomes. 6 Department of Otolaryngology–Head and Neck Surgery Outcomes and Performance 2014 ■ Departmental Volume and Growth Surgical Volume The Department attracts experts from all disciplines of otolaryngology to lecture at its various conferences. Here, Dr. Mike Yao, Head and Neck Surgeon, engages with one of the speakers. Rate of Readmission and Reoperation Source: University Health System Consortium Department of Otolaryngology–Head and Neck Surgery Outcomes and Performance 2014 7 ■ Departmental Volume and Growth Post-Operative Sepsis Rate Although infection and sepsis are on the rise in the United States, striking an estimated 750,000 Americans annually, The Mount Sinai Hospital has begun implementing successful new procedures to combat this. This Sepsis Reduction Program uses a clinician decision support model that involves data-driven, multidisciplinary protocols to quickly identify and treat cases of sepsis. As part of the Program, nurses receive additional training to recognize warning signs and to call the Stop Sepsis Team (a group of specially trained nurse practitioners) if they determine